Provider Demographics
NPI:1427052232
Name:BURKE, CHERIE ANNE (CRNA)
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:ANNE
Last Name:BURKE
Suffix:
Gender:
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 BERGEN ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2496
Mailing Address - Country:US
Mailing Address - Phone:973-972-0722
Mailing Address - Fax:
Practice Address - Street 1:150 BERGEN ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2496
Practice Address - Country:US
Practice Address - Phone:973-972-0722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN284993L367500000X
PARN-284993-L163W00000X
MERNA153013367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1009079430001Medicaid
PA20032056OtherAMERIHEALTH MERCY
PA2371185000OtherIBC
PA7264769OtherAETNA
PAP00125810OtherRAILROAD MEDICARE
PA50076969OtherCAPITAL BLUE CROSS, KHPC, SENIOR BLUE
PA1549306OtherGATEWAY
PA87061OtherGEISINGER
PA1699748OtherFIRST PRIORITY
PA753047838002OtherTRICARE
PA1699748OtherHIGHMARK BU
PA50082034OtherCAPITAL ADVANTAGE
PA2371185000OtherIBC
PA50076969OtherCAPITAL BLUE CROSS, KHPC, SENIOR BLUE
PA076137Medicare ID - Type Unspecified
PA20032056OtherAMERIHEALTH MERCY
PA87061OtherGEISINGER